Day Trip & Overnight Activity Form

Day Trip & Overnight Activity Form

Simple Field Trips, Outings, Day Trips, and Simple Overnights (1-2 nights)
A Day Trip & Overnight Activity Form is needed for every activity held by troops, service units, or groups of Girl Scouts that goes beyond the regular troop meeting time and place. The planned activity must be consistent with Girl Scout Safety Activity Checkpoints.

Complete this form 3 weeks in advance of your activity.

Activity and Travel Information
Destination Name: *
Destination Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Destination Phone Number*
Please enter a valid phone number.
Planned Activities: *
Trip Start Date*

MonthDayYear
Date
Departure Time: *

Hour Minutes

AM/PM Option
Trip Return Date*

MonthDayYear
Date
Return Time: *

Hour Minutes

AM/PM Option
Certified CPR/First Aider: *

First NameLast Name
Certified CPR/First Aider certification:*

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Name of registered volunteer that has completed Troop Camp Training (if applicable)

First NameLast Name
Certified Adult Lifeguard (if applicable)

First NameLast Name
Certified Adult Lifeguard Certification (if applicable)

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Transportation Type: *
If troops will be carpooling, all driver's licenses and insurance must be attached for approval.
Transportation Documents (if carpooling)

If troops will be carpooling, please attach all driver's license and insurance information.
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Emergency Contact Full Name: *
The Emergency Contact must be someone that will not be attending the trip (that person does not have to be a registered member) in case of an emergency the leader/adult will notify the person above, who will notify the parents.
Emergency Contact Phone Number*
Please enter a valid phone number.

Participants attending:

Please provide a detailed breakdown of the participants. Remember, only registered girls and adults are insured by GSUSA. All adults attending MUST be currently registered Girl Scout members and have an approved CBC (Criminal Background Check) on file.

Participant Breakdown:*

	Total # of participants
Daisy
Brownie
Junior
Cadette
Senior
Ambassador
Registered Adult GS Volunteers

List of girls attending trip: (if uploading roster instead type N/A)*
Must include first & last name.
List of adults attending trip: (if uploading roster instead type N/A)*
Must include first & last name.
Optional: Upload roster of Girls & Adults Attending Trip

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Troop Leader/Coordinator Printed Name*

First NameLast Name
Signature of Troop Leader/Coordinator: *

Clear
Should be Empty:

Troop/Group Information